Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Lyn Blackwell, LMSW

Individual provider Clinical Social Worker · NPI 1174962617

Stacy Lyn Blackwell, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

678 Frnt Ave NW
Grand Rapids, MI 49504-5325
Phone: (616) 916-3711
Fax: (616) 825-6015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801095510 (MI)

Record details

NPI number1174962617
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJune 18, 2013
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

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